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# Keegan Losinski

**Headline:** Cardiac Sonographer, RDCS \(AE\) | Structural Heart & TEE | Clinical AI: Echocardiography Deep Learning, LLM Evaluation & Red Teaming
**Profession:** AI Red Teamer & Evaluator, Clinical and General Domains
**Location:** Vancouver, Washington, United States

## About

Keegan Losinski is a cardiac sonographer and RDCS \(AE\) who currently works part-time as an AI red teamer and evaluator across clinical and general domains through Handshake AI. Based in Vancouver, Washington, Keegan combines four years of cardiac-sonography experience across four hospitals in Oregon, Washington, and Montana with work in clinical AI, healthcare data quality, and evaluation of large language models. Keegan is strongest in adult echocardiography, transesophageal echocardiography \(TEE\), structural-heart imaging, 3D valve imaging, clinical-trial imaging, and the data integrity needed to make healthcare technology dependable. Outside clinical practice, Keegan built a deep-learning echocardiography model that estimates ejection fraction from video using segmentation and transformer components, after auditing public training datasets for label errors. The model outperformed Stanford on generalization. Keegan also built a Canvas Medical EHR plugin to identify repeat echocardiogram orders when they are placed. Keegan’s AI work includes writing adversarial and jailbreak prompts, evaluating model responses against detailed rubrics, medical-content red teaming, data annotation, and reviewer responsibilities. Keegan is building a technical foundation for healthcare operations leadership, with particular interest in data and systems work, clinical workflow optimization, and healthcare data quality.

## Services

- Research Ethics
- Human Subjects Research
- Interventional Cardiology
- Clinical Trials
- Intracardiac Echocardiography
- 3D Echocardiography
- Transesophageal Echocardiography
- Product Requirements
- Electronic Health Records \(EHR\)
- Test Planning
- Clinical Decision Support
- Healthcare Information Technology \(HIT\)
- Clinical Education
- Structural Heart
- Prompt Engineering
- Red Teaming
- AI Safety
- Data Annotation
- LLM Evaluation
- Echocardiography
- Medical Imaging
- Computer Vision
- Deep Learning
- Analytical Skills
- Data Analysis
- Machine Learning
- Change Healthcare
- Fujifilm Synapse
- Clinical Workflow Optimization
- Data Integrity And Compliance

## Highlights

- Works as a part-time AI red teamer and evaluator in clinical and general domains through Handshake AI.
- Writes jailbreak and adversarial prompts to test whether AI models produce unsafe or incorrect answers, including on medical content.
- Grades AI-model responses against detailed evaluation rubrics and was promoted to review other graders on one platform.
- Completed data-annotation work, including labeling robotics video, through AI contract platforms including Handshake AI, micro1, Mercor, Outlier, and DataAnnotation.
- Built and trained a deep-learning model that estimates ejection fraction from echocardiogram video using a segmentation network and transformer.
- Audited public echocardiography datasets for label errors before training the ejection-fraction model.
- Built an echocardiography model that outperformed Stanford on generalization.
- Built a Canvas Medical EHR plugin that catches repeat echocardiogram orders at the moment they are placed.
- Has four years of cardiac-sonography experience across four hospitals in Oregon, Washington, and Montana.
- Performs adult echocardiography at Legacy Salmon Creek and Legacy Emanuel.
- Performs TEE in critical-care units, the catheterization lab, and endoscopy at Legacy Health, including 3D mitral and tricuspid valve imaging on Philips EPIQ.
- Performs Watchman follow-up TEEs to assess peri-device leak and device-related thrombus.
- Cross-trained in pediatric echocardiography at Randall Children's Hospital.
- Imaged patients for three multicenter FDA structural-heart device trials at Providence St. Patrick Hospital: APOLLO for Intrepid TMVR, ALLAY-HF for an interatrial shunt, and a transcatheter tricuspid valve replacement trial.
- Scanned trial participants to protocol-specific imaging criteria and flagged issues to research coordinators and investigators.
- Served as a clinical instructor for sonography externship students and onboarded locum cardiologists to imaging and reporting workflows.
- Scanned live during a structural-heart presentation at the Rocky Mountain Valve Symposium and ran education booths there and at St. Patrick's Heart Expo.
- Completed an 11-month, 1,800-plus-hour full-time clinical externship at PeaceHealth Sacred Heart Medical Center, focused largely on structural-heart cases.
- Operated Philips EPIQ for intraprocedural 3D TEE on many trans-septal MitraClip \(TEER\) cases at Asante Rogue Regional Medical Center.
- Adjusted mitral-valve views during TEER procedures for interventional cardiologists and device representatives.
- Performed routine TEE with 3D valve imaging and Watchman follow-ups at Asante.
- Helped precept sonography students and a new graduate at Asante.
- Served as the point of contact during a change in ultrasound enhancing agents and as the echo point person for a vendor during a PACS upgrade.
- Holds a Bachelor of Science in Echocardiography from Oregon Institute of Technology and the RDCS \(AE\) credential.
- Brings experience in research ethics, human-subjects research, clinical trials, healthcare IT, clinical decision support, Change Healthcare, Fujifilm Synapse, and clinical workflow optimization.

## Experience

- **AI Red Teamer & Evaluator, Clinical and General Domains at Handshake AI** (2025-08-01–present) — Part-time contract work for AI companies through Handshake AI, micro1, Mercor, Outlier and DataAnnotation. Most of it is red teaming and evaluation. I write jailbreak and adversarial prompts to get models to give unsafe or wrong answers, and I grade model responses against detailed rubrics, a lot of it medical content. I’ve also done annotation work, including labeling robotics video, and was promoted to reviewing other graders on one platform. Client and project details are under NDA.
- **Cardiac Sonographer at Legacy Health** (2025-11-01–2026-09-01) — Adult echocardiography at Legacy Salmon Creek and Legacy Emanuel. • TEE across critical care units, the cath lab and endoscopy, with 3D mitral and tricuspid valve imaging on Philips EPIQ • Follow-up TEEs after Watchman implants, assessing peri-device leak and device-related thrombus • Cross-trained in pediatric echocardiography at Randall Children's Hospital
- **Cardiac Sonographer at Providence** (2024-09-01–2025-10-01) — Cardiac sonographer at Providence St. • Patrick Hospital. • Imaged patients for three multicenter FDA structural heart device trials: APOLLO \(Intrepid TMVR\), ALLAY-HF \(interatrial shunt\) and a transcatheter tricuspid valve replacement trial • Scanned to each protocol's imaging criteria and flagged issues to the research coordinator and investigator • Clinical instructor for sonography externship students • Onboarded locum cardiologists to the lab's imaging and reporting workflow • Scanned live during a structural heart presentation at the Rocky Mountain Valve Symposium, and ran education booths there and at St. • Patrick's Heart Expo
- **Cardiac Sonographer at Asante** (2023-07-01–2024-08-01) — Cardiac sonographer at Asante Rogue Regional Medical Center. • Ran the Philips EPIQ for intraprocedural 3D TEE on many trans-septal MitraClip \(TEER\) cases, adjusting views of the mitral valve for the interventional cardiologist and device representative • Routine TEE with 3D valve imaging and Watchman follow-ups • Helped precept sonography students and a new graduate • Point of contact during the lab's change of ultrasound enhancing agents, and echo point person for the vendor during a PACS upgrade
- **Cardiac Sonographer at PeaceHealth Sacred Heart Medical Center** (2022-07-01–2023-06-01) — 11-month, 1,800+ hour full-time clinical externship for a B.S. in Echocardiography, spent largely in structural heart cases under a clinical instructor from the structural heart team.

## Education

- Bachelor of Science - BS, Echocardiography — Oregon Institute of Technology

## FAQ

### What does Keegan do?

Keegan is a cardiac sonographer, RDCS \(AE\), and a part-time AI red teamer and evaluator. Keegan works on clinical and general AI evaluation through Handshake AI while drawing on experience in echocardiography, TEE, structural heart imaging, healthcare data integrity, and clinical workflow.

### What are Keegan's clinical strengths?

Keegan’s strongest clinical areas include adult echocardiography, transesophageal echocardiography, 3D echocardiography, structural-heart procedures, interventional cardiology, intracardiac echocardiography, cardiac anatomy, direct patient care, and clinical-trial imaging. Keegan also has experience with clinical education, public presentation, technical troubleshooting, and workflow change.

### What does Keegan do in AI red teaming and evaluation?

Keegan performs part-time contract work for AI companies through Handshake AI, micro1, Mercor, Outlier, and DataAnnotation. The work primarily involves red teaming and evaluation: writing jailbreak and adversarial prompts intended to elicit unsafe or incorrect responses, then grading outputs against detailed rubrics, including substantial medical-content work. Keegan has also completed data annotation, including robotics-video labeling, and was promoted to review other graders on one platform. Client and project details are under NDA.

### What did Keegan build in echocardiography AI?

Keegan built and trained a medical-imaging deep-learning model that reads echocardiogram video and estimates ejection fraction. The model combines a segmentation network with a transformer and was trained only after Keegan audited public datasets for label errors. It outperformed Stanford on generalization, reinforcing Keegan’s focus on data integrity and quality assurance rather than ML engineering alone.

### What healthcare software project has Keegan built?

Keegan built a plugin for the Canvas Medical EHR that identifies repeat echocardiogram orders at the point they are placed. The project reflects Keegan’s interest in electronic health records, clinical decision support, product requirements, test planning, healthcare IT, and clinical workflow optimization.

### What does Keegan do at Legacy Health?

At Legacy Health, Keegan performs adult echocardiography at Legacy Salmon Creek and Legacy Emanuel. Keegan performs TEE across critical-care units, the catheterization lab, and endoscopy, including 3D mitral and tricuspid valve imaging on Philips EPIQ systems. Keegan also conducts follow-up TEEs after Watchman implants to assess peri-device leak and device-related thrombus, and cross-trained in pediatric echocardiography at Randall Children's Hospital.

### What did Keegan accomplish at Providence?

At Providence St. Patrick Hospital, Keegan imaged patients for three multicenter FDA structural-heart device trials: APOLLO for Intrepid TMVR, ALLAY-HF for an interatrial shunt, and a transcatheter tricuspid valve replacement trial. Keegan scanned to each protocol’s imaging criteria and escalated issues to the research coordinator and investigator. Keegan also served as a clinical instructor for sonography externship students, onboarded locum cardiologists to imaging and reporting workflows, scanned live during a structural-heart presentation at the Rocky Mountain Valve Symposium, and ran education booths there and at St. Patrick's Heart Expo.

### What was Keegan's experience at PeaceHealth Sacred Heart Medical Center?

Keegan completed an 11-month, 1,800-plus-hour full-time clinical externship at PeaceHealth Sacred Heart Medical Center as part of a Bachelor of Science in Echocardiography. The externship was spent largely on structural-heart cases under a clinical instructor from the structural-heart team.

### What did Keegan accomplish at Asante?

At Asante Rogue Regional Medical Center, Keegan operated the Philips EPIQ for intraprocedural 3D TEE on many trans-septal MitraClip, or TEER, cases. Keegan adjusted mitral-valve views for the interventional cardiologist and device representative, performed routine TEE with 3D valve imaging and Watchman follow-ups, and helped precept sonography students and a new graduate. Keegan was also the point of contact during a change in ultrasound enhancing agents and the echo point person for a vendor during a PACS upgrade.

### What education and credential does Keegan have?

Keegan holds a Bachelor of Science in Echocardiography from Oregon Institute of Technology, also known as Oregon Tech. Keegan is credentialed as RDCS \(AE\).

### What technical and AI skills does Keegan have?

Keegan is proficient in Python for data work and machine-learning applications. Keegan’s technical experience includes deep learning, computer vision, machine learning, medical imaging, data analysis, analytical work, prompt engineering, AI safety, LLM evaluation, red teaming, data annotation, test planning, and healthcare data integrity and compliance.

### How does Keegan approach healthcare data quality and systems work?

Keegan has experience in research ethics, human-subjects research, clinical trials, electronic health records, clinical decision support, healthcare information technology, Change Healthcare, Fujifilm Synapse, clinical workflow optimization, product requirements, and quality-focused data work. Keegan is particularly focused on ensuring that clinical data is accurate, well-labeled, and dependable for downstream systems and AI applications.

### What direction is Keegan pursuing professionally?

Keegan is building a technical foundation to transition toward healthcare operations leadership. Keegan prefers data and systems work over direct clinical work and is especially interested in the intersection of clinical knowledge, technology, data quality, and healthcare operations.

### Where is Keegan based and how can Keegan be contacted?

Keegan is based in Vancouver, Washington. Keegan can be reached at \[contact removed\].

## Links

- LinkedIn: https://www.linkedin.com/in/keeganlosinski

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